Digital dermatopathology implementation: Experience at a multisite academic institution.

Autor: Proffer SL; Department of Dermatology, Mayo Clinic Rochester, Rochester, Minnesota, USA., Reinhart J; Department of Dermatology, Mayo Clinic Rochester, Rochester, Minnesota, USA., Ridgeway JL; Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic Rochester, Rochester, Minnesota, USA., Barry B; Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic Rochester, Rochester, Minnesota, USA., Kamath C; Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic Rochester, Rochester, Minnesota, USA., Gerdes EW; Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic Rochester, Rochester, Minnesota, USA., Todd A; Division of Clinical Trials and Biostatistics of the Department of Quantitative Health Sciences, Mayo Clinic, Rochester, Minnesota, USA., Cervenka DJ; Department of Dermatology, Mayo Clinic Rochester, Rochester, Minnesota, USA., DiCaudo DJ; Department of Dermatology, Mayo Clinic, Scottsdale, Arizona, USA.; Department of Laboratory Medicine and Pathology, Mayo Clinic, Arizona, USA., Sokumbi O; Department of Dermatology, Mayo Clinic, Florida, USA., Johnson EF; Department of Dermatology, Mayo Clinic Rochester, Rochester, Minnesota, USA.; Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota, USA., Peters MS; Department of Dermatology, Mayo Clinic Rochester, Rochester, Minnesota, USA.; Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota, USA., Wieland CN; Department of Dermatology, Mayo Clinic Rochester, Rochester, Minnesota, USA.; Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota, USA., Comfere NI; Department of Dermatology, Mayo Clinic Rochester, Rochester, Minnesota, USA.; Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota, USA.
Jazyk: angličtina
Zdroj: Journal of cutaneous pathology [J Cutan Pathol] 2024 Sep; Vol. 51 (9), pp. 696-704. Date of Electronic Publication: 2024 May 24.
DOI: 10.1111/cup.14629
Abstrakt: Background: Technology has revolutionized not only direct patient care but also diagnostic care processes. This study evaluates the transition from glass-slide microscopy to digital pathology (DP) at a multisite academic institution, using mixed methods to understand user perceptions of digitization and key productivity metrics of practice change.
Methods: Participants included dermatopathologists, pathology reporting specialists, and clinicians. Electronic surveys and individual or group interviews included questions related to technology comfort, trust in DP, and rationale for DP adoption. Case volumes and turnaround times were abstracted from the electronic health record from Qtr 4 2020 to Qtr 1 2023 (inclusive). Data were analyzed descriptively, while interviews were analyzed using methods of content analysis.
Results: Thirty-four staff completed surveys and 22 participated in an interview. Case volumes and diagnostic turnaround time did not differ across the institution during or after implementation timelines (p = 0.084; p = 0.133, respectively). 82.5% (28/34) of staff agreed that DP improved the sign-out experience, with accessibility, ergonomics, and annotation features described as key factors. Clinicians reported positive perspectives of DP impact on patient safety and interdisciplinary collaboration.
Conclusions: Our study demonstrates that DP has a high acceptance rate, does not adversely impact productivity, and may improve patient safety and care collaboration.
(© 2024 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
Externí odkaz: